| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,616 |
3,067 |
$259K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,275 |
2,809 |
$117K |
| 96127 |
|
3,852 |
3,125 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
761 |
703 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
641 |
575 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
455 |
417 |
$53K |
| 96160 |
|
2,311 |
1,677 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
658 |
602 |
$30K |
| 92558 |
|
1,265 |
1,128 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
248 |
214 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
239 |
205 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
939 |
824 |
$24K |
| 99173 |
|
2,749 |
2,479 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
624 |
581 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
160 |
143 |
$3K |
| 36416 |
|
927 |
788 |
$3K |
| 96161 |
|
59 |
54 |
$1K |
| 0071A |
|
25 |
25 |
$960.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
29 |
$953.91 |
| 90686 |
|
1,577 |
1,502 |
$847.82 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
36 |
25 |
$737.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
36 |
$655.97 |
| 0072A |
|
14 |
14 |
$560.00 |
| 0001A |
|
13 |
13 |
$520.00 |
| 0002A |
|
13 |
13 |
$520.00 |
| 99174 |
|
24 |
24 |
$460.00 |
| 99051 |
|
17 |
17 |
$138.37 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
12 |
$137.40 |
| 85018 |
|
873 |
750 |
$47.46 |
| 90674 |
|
228 |
208 |
$0.00 |
| 90698 |
|
14 |
13 |
$0.00 |
| 91307 |
|
93 |
80 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90670 |
|
64 |
61 |
$0.00 |
| 90461 |
|
652 |
573 |
$0.00 |
| 91300 |
|
29 |
29 |
$0.00 |
| 90661 |
|
185 |
173 |
$0.00 |
| 99072 |
|
1,261 |
1,130 |
$0.00 |
| 90685 |
|
43 |
43 |
$0.00 |
| 90671 |
|
15 |
14 |
$0.00 |